Provider Demographics
NPI:1386638443
Name:HOMECARE NURSING DIVISION
Entity Type:Organization
Organization Name:HOMECARE NURSING DIVISION
Other - Org Name:FAMILYCARE SENIOR SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURDEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:757-399-9700
Mailing Address - Street 1:801 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-3627
Mailing Address - Country:US
Mailing Address - Phone:757-399-9700
Mailing Address - Fax:757-398-3342
Practice Address - Street 1:801 COURT ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-3627
Practice Address - Country:US
Practice Address - Phone:757-399-9700
Practice Address - Fax:757-398-3342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-06
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008770077Medicaid
VA008701369Medicaid